Organization · Type 2 NPI

Detroit Wayne County Health Authority

Primary Care Clinic/Center · Detroit, MI

NPI number 1962733089 Active

Practice location

10809 Mack Ave
Detroit, MI 48214-2119

Fax (313) 824-9000

Mailing address

3031 W Grand Blvd
Detroit, MI 48202-3046

Other practice locations

  • 27777 Lahser Rd Ste 200, Southfield, MI 48034-4751 · (313) 824-1000
  • 23077 Greenfield Rd, Southfield, MI 48075-3709 · (313) 824-1000
  • 12121 Broadstreet Ave, Detroit, MI 48204-1550 · (313) 824-1000

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000X251K00000X
Community/Behavioral Health Agency 251S00000XNone listed
Clinic/Center 261Q00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed
Clinic Pharmacy 3336C0002XNone listed

Primary Care Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1962733089

Detroit Wayne County Health Authority's National Provider Identifier is 1962733089, issued on Jan 29, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Detroit, MI. The record was last updated on May 19, 2026.